Difference between revisions of "Bas Nadia/Medical History"

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|BLOOD TYPE= B+
 
|BLOOD TYPE= B+
 
|T/E RATING= T6/E5<br>
 
|T/E RATING= T6/E5<br>
|CHRONIC ILLNESSES= None
+
|CHRONIC ILLNESSES= Unknown
|MEDICATIONS= None
+
|MEDICATIONS= Unknown
|ALLERGIES & REACTIONS= None
+
|ALLERGIES & REACTIONS= Unknown
|SEXUAL/REPRODUCTIVE HISTORY= None
+
|SEXUAL/REPRODUCTIVE HISTORY= Unknown
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=None
+
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= Unknown
|PAST SURGICAL HISTORY=None
+
|PAST SURGICAL HISTORY= Unknown
|PSYCHIATRIC HISTORY= None
+
|PSYCHIATRIC HISTORY= Unknown
|ALCOHOL USE= None
+
|ALCOHOL USE= Unknown
|RECREATIONAL DRUG USE= None
+
|RECREATIONAL DRUG USE= Unknown
 
|OTHER SUBSTANCE USE= None
 
|OTHER SUBSTANCE USE= None
 
|MOTHER MEDICAL HISTORY= unknown
 
|MOTHER MEDICAL HISTORY= unknown
 
|FATHER MEDICAL HISTORY= unknown
 
|FATHER MEDICAL HISTORY= unknown
|SIBLING MEDICAL HISTORY= None
+
|SIBLING MEDICAL HISTORY= Unknown
 
|MARITAL STATUS & SPOUSE= Single
 
|MARITAL STATUS & SPOUSE= Single
|CHILDREN= None
+
|CHILDREN= Unknown
 
|OCCUPATION= Captain's Aide, {{Starbase|118}}
 
|OCCUPATION= Captain's Aide, {{Starbase|118}}
 
|DIET= Omnivore. None
 
|DIET= Omnivore. None

Revision as of 16:53, 21 February 2016

Template:Basnav1

Starfleet Medical.png

Bas Nadia

MEDICAL RECORD
  • Height: (5'5")
  • Weight: (115lbs)
  • Blood Type: B+
  • T/E Rating: T6/E5

PAST MEDICAL HISTORY

  • Chronic Illnesses: Unknown
  • Medications: Unknown
  • Allergies and Reactions: Unknown
  • Sexual/Reproductive History: Unknown

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

Unknown

PAST SURGICAL HISTORY

Unknown

PSYCHIATRIC HISTORY

Unknown

SUBSTANCE USE HISTORY

  • Alcohol: Unknown
  • Recreation Drugs: Unknown
  • Other: None

FAMILY MEDICAL HISTORY

  • Mother: unknown
  • Father: unknown
  • Siblings: Unknown

SOCIAL HISTORY

  • Marital status: Single
  • Children: Unknown
  • Occupation/Assignment: Captain's Aide, Template:Starbase
  • Diet: Omnivore. None
  • Exercise: Workout regimen of 2 hours every three days. Sometimes skipped due to stress.

PHYSICIANS' NOTES

COUNSELORS' NOTES